License holder summary

SUSAN THERESA BROCKISH is a Health Facility Administrator licensed to practice in Indiana. The address on file for SUSAN THERESA BROCKISH is WEST LAFAYETTE IN 47906. This licensed professional license is not current. The license was granted 02/21/1984 and expired on 08/31/1988.

Indiana

Professional Licensing Agency

SUSAN THERESA BROCKISH
Health Facility Administrator
License number
14002636A
Date granted
02/21/1984
Date expires
08/31/1988
Class
Health Facility Administrator
Status
Expired
Address
WEST LAFAYETTE IN 47906
indianalicensing.org
ID 5686630
LAST UPDATED 2024-03-12 21:07:48 UTC

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